[Question #6228] Follow up to Question #6193

18 months ago
Good morning Dr. 
Dr HHH commented on my previous question and told me that there is no chance of hiv transmission. I calmed down and moved on but there is still a doubt back of my mind thinking about what if scenarios. I came down with cold and throat infection yesterday, could be a coincidence. Today is my 1o th day after the blood draw incident. Can I go for a HIV RNA test on next Tuesday which will be 13th day for piece of mind? Will the 13th day RNA test be conclusive.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
18 months ago
Welcome back, but sorry you found it necessary.

As we discussed a week ago, there is no possibility you acquired HIV or any other blood borne infection from having blood drawn. And HIV doesn't cause "cold" snymptoms (runny/stuffy nose). Indeed you caught a cold and it's just a coincidence. You should  not be tested for HIV at any time. But if you do it anyway, a 13 day test would detect 95% of new infections, but is not 100% conclusive until ~3 weeks, and even then all experts recommend also having an AgAb (duo, "4th generation") blood test at 4-6 weeks. However, if positive for HIV, it will not be from the blood draw. In that event, the first discussion you will have with your health department, when they get the report of a positive result, will be to discuss what other risks there must have been. You will not be the first person in the past 40 years to catch HIV from blood drawing and I strongly recommend you not be tested at all. It will be a waste of money, time, and emotional energy.

Seriously, this is a silly thing to be worried about. Normal minds don't think this way; they accept and believe reasoned, science based reassurance of the sort I have given. (Maybe underlying OCD?) You might consider professional counseling, which I suggest from compassion, not criticism.

HHH, MD
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18 months ago
Hi Dr. I had a HIV 4th gen test(was neagative) along with other lipid,vitamin tests 7 weeks ago as part of regular yearly check up and didnt have any sexual exposure after that test. Also the exposure before that was a unprotected sex with my regular partner 13 weeks ago.

So 21 weeks ago I had unprotected sex with my gf then had a hiv 4th gen test 13 weeks after the unprotected sex as part of regular yearly check up which was negative( based on what you said above 13 week 4th gen is conclusive) then 10 days go I went for a follow up blood draw for iron test. Didnt have any sexual exposure after the 13 week test.
 
Thanks for your quick response dr. and based on what you said I don't need to worry about the sexual exposure and dont have to worry about the blood draw also.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
18 months ago
If you're telling me about your sexual exposures and previous HIV tests because you hope to convince me you are not at risk for HIV other than blood draw, I don't buy it. If you were in my (former) jurisdiction when I headed STD prevention in Seattle, and you turned up positive for HIV and claimed blood draw as the source, we would not believe it and would interview you in detail about other possible sources. If you gave the story above, our conclusion would be the possibility that your previous test was false, i.e. you acquired HIV from your girlfriend. When that didn't pan out, we would assume -- and record in our records -- that your only claimed risk is impossible and therefore you must be covering up a higher risk, potentially stigmatizing exposure. Most such claims turn out to be men who have sex or injection drugs users who don't admit it. Of course I'm not saying that any of these things actually apply to you -- only emphasizing the impossibility of you being infected from having blood drawn.

If your sexual history is because you're seeking affirmation that your tests were valid following the sexual exposures described, I can confirm that. For sure you didn't catch HIV. (But I would also advise you that you shouldn't be testing for HIV after every sexual exposrue with your gf. If you have reason to believe she has HIV, you should stop having sex with her until she is tested and known to be negative. And then both of you stop testing for HIV until and unless either of you has other partners.)

In summary, your closing statement is exactly right!
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18 months ago
Thanks for your reply Dr. It made me calm at same time little concerning. I did not have penetrative or oral sex with anyone other than my gf. But i had a happy ending handjob at a message parlor 25 weeks ago. One last question cannyounplease comment on the possibilty and need to for test in below scenarios

25 weeks ago handjob at a message parlor, she was toiching insidernher vagina then gave me handjob.

21 weeks ago unprotected sex with my gf

No sexual exposure of any kind

12 weeks  after the unprotected sex hiv 4th gen negative.
13 weeks afyer the unprotected sex hiv 4th gen negative.

Would the 2 above tests be conclusivey rule out HIV from my exposures at 12 and 13 weeks ago

10 days ago blood draw at quest ( younalready said no psoisbilitu here)

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
18 months ago
You are way overthinking all this. There is nothing in my replies above that imply any more risk for HIV than we have discussed. With the test results you have had, there is no chance you have HIV. Drop the subject, for goodness' sake! Based on what you have said of your sexual lifestyle, I don't see that you will ever need another HIV test -- certainly not more often than every few years. You're tying yourself in knots over a big nothing burger!

That completes the two follow-up comments and replies included with each question and so ends this thread. Please note that the forum does not accept or reply to repeated questions on the same topic, especially when obviously anxiety driven. This being your second along these lines, it will have to be your last; such repeated questions are subject to deletion without reply, and withour refund of the posting fee. We have found that allowing repeated questions tends to prolong anxiety, not relieve it -- there's always a "yes but" or "could I be the exception" sort of question, to which the answer always is no. Finally, such repeated questions are of limited use for education of other users, one of the forum's main purposes. Thanks for your understanding of the policy. I do hope this and your previous discussion have been useful and help you move along. Best wishes and stay safe.
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